November 2023
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Patient Demography: Male aged 56
Diagnosis: Possibility of Plasma Cell l Leukemia can be considered.
Microscopic Review: Atypical lymphocytes 37%. RBCs are predominantly normocytic normochromic. There is mild degree or anisocytosis. 2 nRBCs / 100 WBC seen. Few polychromatophilic cells seen. Marked leukocytosis with 37% atypical lymphocytes Plasma cell/ Plasmablast Round to oval, few with indented nucleus, occasionally binucleated, single prominent nucleus, abundant cytoplasm with hairy projections. Neutrophilic leukocytosis. Myeloid left shift i s seen. Mildly reduced by smear.
Other Information: I mmunophenotyping by flow cytometry, bone marrow aspiration and biopsy, serum protein electrophoresis and immunofixation, renal function test.
This clinical case has been provided by? Dr. Islam Barkatullah Khan, Diveak Rustogi, Arvind,? Rajeev Ranjan, Rocky, Redcliffe Labs, India
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